Individual
DR. JEREMY S BEDTELYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 967-4249
(541) 928-2942
Mailing address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 967-4249
(541) 928-2942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
82687
MT
207R00000X
Internal Medicine Physician
Primary
MD29330
OR
208000000X
Pediatrics Physician
MD29330
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608443
—
OR
Enumeration date
05/25/2007
Last updated
11/27/2023
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